Nokea
The client had surgery one day ago. What assessment is most likely related to
pain?
- A. Blood pressure of 175/90 mm Hg
- B. Respirations of 10 breaths per minute
- C. Heart rate 60 beats/minute
- D. Oxygen saturation of 97%
Correct Answer: A
Rationale:
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A nurse is teaching a client who has out about dietary recommendations. The
nurse should teach the client which of the following beverages can trigger an
attack?
- A. Fruit juice
- B. Alcohol
- C. Milk
- D. Coffee
Correct Answer: B
Rationale:
A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and
abdominal pain. Today, the client came into the clinic complaining of her leg
being hot, red and painful. What does the nurse suspect?
- A. Amputation
- B. Deep vein thrombosis
- C. Internal bleeding
- D. Kidney failure
Correct Answer: B
Rationale:
A client has cellulitis on his left arm. What statement by the client indicates
understanding of symptom management?
- A. "I can use tight bandages on my arm."?
- B. "I should not apply heat to my arm."?
- C. "I can use a warm, moist towel on my arm."?
- D. "I should use a cold, dry source on my arm."?
Correct Answer: C
Rationale:
A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is
the first to occur?
- A. Tachycardia
- B. Raynaud's phenomenon
- C. Intense wrinkle
- D. Joint pain
Correct Answer: B
Rationale:
The nurse will be using the Braden Scale with each admit to the long-term care
center. Which of these will NOT be utilized in a Braden Scale Assessment?
- A. Mental state
- B. Friction and shear
- C. Nutrition
- D. Sensory perception
Correct Answer: A
Rationale: